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Individual

DR. LARRY CHAD BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
19 DONORE SQ, SAN ANTONIO, TX 78229
(240) 676-6500
Mailing address
PSC 475, BOX 1384, FPO, AP 96350

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015820
MO

Other

Enumeration date
08/02/2006
Last updated
08/30/2018
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